T-CELL RECEPTOR CONSTANT BETA-CHAIN POLYMORPHISMS AND SUSCEPTIBILITY TO TYPE-1 DIABETES

被引:18
作者
HIBBERD, ML [1 ]
MILLWARD, BA [1 ]
WONG, FS [1 ]
DEMAINE, AG [1 ]
机构
[1] KINGS COLL,SCH MED & DENT,DEPT MED,DENMARK HILL,LONDON SE5 8RX,ENGLAND
关键词
T-CELL RECEPTOR; RFLP; DIABETIC COMPLICATIONS; IMMUNOGENETICS;
D O I
10.1111/j.1464-5491.1992.tb01733.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Several groups have previously shown that the T-cell receptor (TCR) constant-beta (Cbeta) chain locus is associated with susceptibility to Type 1 diabetes, although other studies have failed to show this. We have extended these studies by investigating 125 individuals with Type 1 diabetes and failed to confirm the significantly increased frequency of the 10;9.2 kb TCR-Cbeta/BgI-II genotype in our patient population. However, further analysis showed that the 10;9.2 kb TCR-Cbeta genotype was significantly increased in those patients with no microvascular complications after 20 years of diabetes compared to those patients with complications (proteinuria, overt neuropathy, and moderate or severe retinopathy) 69.2 % vs 31.7 %, respectively, p < 0.005 Pc = 0.025). Similar results were also found in a second group of 74 patients who were analysed in the same way. Hence, the failure of some investigators to confirm the association between TCR-Cbeta and Type I diabetes may be due to heterogeneity in the patient populations being studied.
引用
收藏
页码:929 / 933
页数:5
相关论文
共 26 条
  • [1] Gepts W., Pathogenic anatomy of the pancreas in jeuvenile diabetes mellitus, Diabetes, 14, pp. 619-626, (1965)
  • [2] Bottazzo GF, Florin-Christensen A., Doniach D., Islet cell antibodies in diabetes mellitus with autoimmune polyendocrine deficiencies, Lancet, 1, pp. 1279-1283, (1974)
  • [3] Baisch JM, Weeks T., Giles R., Hoover M., Stastny P., Capra JD., Analysis of HLA‐DQ genotypes and susceptibility in insulin dependent diabetes, New Engl J Med, 322, pp. 1836-1841, (1990)
  • [4] Khalil I., D'Auriol K., Gobet M., Morin L., Lepage V., Deschamps I., Et al., A combination of HLA‐DQ beta Asp‐57 negative and HLA‐DQ alpha Arg‐52 confers susceptibility in insulin‐dependent diabetes mellitus, J Clin Invest, 85, pp. 1315-1319, (1990)
  • [5] Todd JA, Bell JI, McDevitt HO., HLA‐DQ beta gene contributes to susceptibility and resistance to insulin‐dependent diabetes mellitus, Nature, 329, pp. 559-604, (1987)
  • [6] Millward BA, Welsh KI, Leslie RDG, Pyke DA, Demaine AG., T‐cell receptor beta chain polymorphisms are associated with insulin dependent diabetes, Clin Exp Immunol, 70, pp. 152-157, (1987)
  • [7] Hoover ML, Angelini G., Ball E., Stastny P., Marks J., Rosenstock J., Et al., HLA‐DQ and T‐cell receptor genes in insulin‐dependent diabetes mellitus, Cold Spring Harbor Symp Quant Biol, 51, pp. 803-807, (1986)
  • [8] Ito M., Tanimoto M., Kamura H., Yoneda M., Morishima Y., Takatsuki K., Et al., Association of HLA‐DR phenotypes and T‐lymphocyte‐receptor β‐chain‐region RFLP with IDDM in Japanese, Diabetes, 37, pp. 1633-1636, (1988)
  • [9] McMillan SA, Graham CA, Hart PJ, Hadden DR, McNeill TA., A T‐cell receptor beta chain polymorphism is associated with patients developing insulin‐dependent diabetes after the age of 20 years, Clin Exp Immunol, 82, pp. 538-541, (1990)
  • [10] Hoover ML, Black KE, Ball E., Alford M., Marks J., Stastny P., Et al., Polymorphisms of the human T‐cell receptor α and β chain genes and their relationship to insulin dependent diabetes mellitus, Immunobiology of HLA, 2, pp. 411-412, (1989)